Decision-making in HIV prevention community planning: an integrative review. NLM AIDSLINE Important note: Information in this article was accurate in 2000. The state of the art may have changed since the publication date.

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Decision-making in HIV prevention community planning: an integrative review.

J Community Health. 2000 Apr;25(2):95-112. Unique Identifier : AIDSLINE MED/20252178
Johnson-Masotti AP; Pinkerton SD; Holtgrave DR; Valdiserri RO; Willingham M; Center for AIDS Intervention Research, Department of Psychiatry; and Behavioral Medicine, Medical College of Wisconsin, Milwaukee; 53202, USA.


Abstract: Since 1994, the Centers for Disease Control and Prevention has required that the 65 health department grantees that receive funding for HIV prevention interventions engage in a community planning process to involve affected communities in local prevention decision making; to increase the use of epidemiological data to target HIV prevention resources; and to ensure that the planning process takes into account scientific information on the effectiveness and efficiency of different HIV interventions. Local community planning groups are charged with identifying and prioritizing unmet HIV prevention needs in their communities, as well as prioritizing prevention interventions designed to address these needs. Their recommendations, in turn, form the basis for the local health department's request for HIV prevention funding from the Centers for Disease Control and Prevention. Given the community planning process's central role in the allocation of federal HIV prevention funds, it is critical that sound decision-making procedures inform this process. In this article, we review the basics of the community planning prioritization process and summarize the decision-making experiences of community planning groups across the US. We then describe several priority-setting tools and decision analytic models that have been developed to assist in HIV community planning prioritization and discuss their strengths and weaknesses. Finally, we offer suggestions for improving the decision-analytic basis for HIV prevention community planning.


Keywords: JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL Community Health Planning/ECONOMICS/*ORGANIZATION & ADMIN *Decision Making, Organizational Health Care Rationing Health Priorities Human HIV Infections/EPIDEMIOLOGY/*PREVENTION & CONTROL Preventive Health Services/ECONOMICS/*ORGANIZATION & ADMIN Support, U.S. Gov't, P.H.S. United States/EPIDEMIOLOGY

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A0080964


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